Sports Commercial Bind Request

As it should appear on the policy - legal name of the business/organization - DO NOT use abbreviations- Please use same named insured as when the policy was quoted.

Contact Name*

First

Last

If Applicable, Insurance Agent Name Submitting Bind Request

Email*

All correspondence will be sent to this email. Please use the email used for correspondence on your original quote.
IMPORTANT- INSURANCE AGENTS: If you are submitting this request on behalf of your insured, you MUST use YOUR email address.

Mailing Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

This address is the mailing address for the insured.

Phone*

Please Bind the Following Coverages

Desired Effective Date*

STANDARD COVERAGES*

General Liability & Accident

General Liability Only*

Accident Only

*Important - Please review your quote in order to determine if the carrier requires Accident coverage to be in force in order to purchase General Liability. If this is indicated on your quote, we will bind General Liability & Accident combined, regardless of the option chosen above.

Optional Coverages (The following optional coverages/enhancements were offered along with the General Liability quote. Please indicate if you wish to bind any of these optional coverages/enhancements. Your premium will be calculated based on the options chosen.)

Excess Liability Coverage (please indicate which limit you would like to have in addition to your standard General Liability policy)*

$1,000,000 / $1,000,000

$2,000,000 / $2,000,000

$3,000,000 / $3,000,000

$4,000,000 / $4,000,000

Liquor Liability (This coverage is only offered if your initial application indicated an exposure showing the insured is in the business of selling alcohol and we are able to write liquor liability in your state. Otherwise, you would not be provided a quote for this coverage. If you were provided a quote for this coverage, do you wish to bind coverage for liquor liability?)*

Coverage was not offered.

Yes

No

Additional Available Coverages (The following coverages are also available to clients who have purchased a general liability policy from Sadler & Co., however, an additional application must be submitted and a separate quote will be provided for each coverage. Please indicate if you would like for us to provide you with a quote for these additional coverages.)

Equipment / Inland Marine*

Yes

No

Provides coverage for direct loss or damage to your supplies and equipment, furnishings, improvements and betterments, signs and non-structural glass due to fire, theft, vandalism or other covered causes.

If purchasing Equipment/Building/Contents coverage, does your lender require a loss-payee? (If yes, regardless of any information submitted previously, please respond to your binding confirmation email with a complete list of requirements from lender, including any special wording requests. This will allow us to make sure that we have the most up-to-date information for your policy. ITEMS NEEDED: Name of Lender, Complete Mailing Address and Any Special Wording. A copy of the contract may be required by the carrier. Please note, some endorsements or special wording may require an additional charge.)*

Yes

No

Directors & Officers*

Yes

No

Covers your business entity and its directors and officers against certain lawsuits alleging managerial negligence that results in economic damages or the violation of rights of others under state, federal or constitutional law.

Commercial Property*

Yes

No

Covers your business owned buildings and contents against loss due to perils such as fire, wind, theft, vandalism, etc.

Certificates of Insurance/Endorsements

Do your Property Owners or Sponsors require a Certificate of Insurance? (If yes, regardless of any information submitted previously, please respond to your binding confirmation email with a complete list of requirements from property owners or sponsors, including any special wording requests. This will allow us to make sure that we have the most up-to-date information for your policy. ITEMS NEEDED: Name of Property Owner/Sponsor, Complete Mailing Address and Any Special Wording. Please note, some endorsements or special wording may require an additional charge.)*

Yes

No

Is the physical address of the named insured the same as the mailing address?*

Yes

No

If no, does the property owner require the physical location to be listed on the certificate of insurance?*

Yes

No

If yes, please provide the name of the Property Owner that requires the physical location listed, as well as the physical address of your location.

How Do You Wish to Pay for Coverage?

PLEASE NOTE: Your request to bind coverage is contingent on the appropriate premium payment being received by Sadler & Company. Coverage will go into effect the date the payment is received or the effective date requested, whichever is later. If payment is returned or disputed, the policy will be canceled flat for non-payment and property owners will be notified.

Payment Options*

PAYMENT IN FULL - CHECK

PAYMENT IN FULL - CREDIT CARD (VISA OR MASTERCARD ONLY): (You will receive a credit card link within 12-24 business hours via email. Check your spam filter if not received.)

FINANCING (ONLY IF PREMIUM IS OVER $2,000) - FINANCE CHARGES WILL APPLY (The Finance Agreement is attached to the quote. This MUST be printed, signed and returned via email or fax in order to bind.)

PAYMENT IN FULL - CHECK SUBMISSION OPTIONS (Please make check payable to Sadler & Company, regardless of the method of submission.)*

EMAIL - After submitting this bind request, please respond to the quote email (sport3@sadlersports.com) with a copy of the check.

MAIL - After submitting this bind request, please mail the check to PO Box 5866, Columbia, SC 29250 (If you email or fax a copy of the check DO NOT also mail the check unless specifically asked to do so, otherwise you may get charged twice.)